Promotion of Evidence-Based Health and Welfare Policies for People with Disabilities in Japan-Proposing to Apply Self-Management Education for Switching to the Health Promotion System for a Care-Centered Mature Society, that Does Not Leave Anyone Behind

Abstract

which was enacted after the promulgation of the Constitution of Japan (1947- ), forced infertility surgery had been performed on many people with disabilities" in recent years. It turned out that “reproductive rights” of the people with disabilities were found to have been taken away, and the media reported that “Constitutional judgment was made against past forced infertility surgery.” [6] Reproductive rights are one of the basic human rights. “Respect for basic human rights” is one of the three principles in the current Constitution of Japan, along with “National sovereign-ty” and “Peace principle,” and they are human rights that people are born with. The essential rights for human beings are to be “respected as irreplaceable individuals, treated equally, and to live freely in accordance with their own will.” We have to say that there is still room for improvement in Japan's policy for people with disabilities. Therefore, we should never forget the Abstract This study examined the methodology to realize our previous proposal to promote evidence-based health and welfare policies for all, including people with disabilities in Japan. First, this study outlined the proposal: 1) Promotion of use of the Clinical Efficacy Database, and 2) The definition of “health in a care-focused mature society.” Second, I reviewed self-management education (SME) and “Chronic Disease Self-Management Program (CDSMP)” to examine whether they had possibility as methodology to promote the Japanese health and welfare measures for people with disabilities. CDSMP was thought to be able to apply to health and welfare measures for people with disabilities of local governments, from the view point of methodologies, features, effects etc. This study concluded that, 1) CDSMP should be applied to the Japanese health and welfare measures for people with disabilities for promoting the measures, and 2) Promotion of human resource development necessary for that was thought to be one of the new challenges.